Provider Demographics
NPI:1881019347
Name:MERCADEL, EMILEE MICHELLE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:EMILEE
Middle Name:MICHELLE
Last Name:MERCADEL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 OLD HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70043-4535
Mailing Address - Country:US
Mailing Address - Phone:504-292-9881
Mailing Address - Fax:
Practice Address - Street 1:66 OLD HICKORY ST
Practice Address - Street 2:
Practice Address - City:CHALMETTE
Practice Address - State:LA
Practice Address - Zip Code:70043-4535
Practice Address - Country:US
Practice Address - Phone:504-292-9881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA291180164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse